When performing a physical examination on a small child, the nurse observes approximately 8 to 10 light-brown spots concentrated primarily on the trunk and extremities, two small lumps on the posterior trunk, and axillary freckling
The nurse interprets these findings to suggest which of the following? A) Klinefelter syndrome
B) Neurofibromatosis
C) Fragile X syndrome
D) Sturge-Weber syndrome
B
Response:
The hallmark of neurofibromatosis is café-au-lait spots appearing all over the body, particularly the trunk and extremities. Additional findings include benign tumors, axillary freckling, and pigmented nevi. Klinefelter syndrome is associated with a lack of secondary sex characteristics, decreased facial hair, gynecomastia, decreased pubic hair, and hypogonadism. Fragile X syndrome is manifested by minor dysmorphic features and developmental delay. Sturge-Weber syndrome is associated with facial nevus, seizures, hemiparesis, and intracranial calcifications.
You might also like to view...
A patient is taking a drug that does not bind to albumin. Which aspect of renal drug excretion is affected by this characteristic?
a. Active tubular secretion b. Glomerular filtration c. Passive tubular reabsorption d. pH-dependent ionization
When a significant elevation in the human chorionic gonadotropin (hCG) level is noted on the laboratory report, the nurse is aware that this is a marker for ____________________ cancer
Fill in the blank(s) with correct word
You are caring for an infant who has just had a circumcision. During the first 24 hours, you would check the site:
a. every 15 minutes for the first hour. b. every 30 minutes for the first 2 hours. c. every hour for the first 4 hours. d. once per shift.
The nurse is conducting an early pregnancy class for a group of pregnant women. Which statement indicates a need for further education about the placenta?
1. "It develops and grows larger until about 20 weeks' gestation." 2. "It floats in the amniotic sac and filters waste products from the fetus." 3. "It creates hormones and enzymes that are necessary during pregnancy." 4. "It ages and becomes less permeable during the last month of pregnancy."